CLIA lab
CLIA 17D2159149: Walmart Pharmacy 10-2893
Independence, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2159149 belongs to Walmart Pharmacy 10-2893 in Independence, KS.
Certificate of Waiver, effective December 12, 2024, expires December 11, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 12, 2024
- Certificate expiration
- December 11, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 2018
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D2159149
- Lab name
- Walmart Pharmacy 10-2893
- Address
- 121 Peter Pan Rd, Independence, KS 67301
- Phone
- (620) 331-9608
- Fax
- (620) 331-9822
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Independence, KS
- Americare at Montgomery PlaceCertificate of Waiver, Skilled nursing or nursing facility17D1099121
- Community Health Center of Southeast Kansas, IncCertificate of Waiver, Federally qualified health center17D2163908
- Crmc Medical Group, IndependenceCertificate of Waiver, Rural health clinic17D2110673
- Eagle EstatesCertificate of Waiver, Skilled nursing or nursing facility17D0969645
- Four County Mental Health CenterCertificate of Waiver, Other17D2302295
- Home Town Home HealthCertificate of Waiver, Home health agency17D2214999
- Home Town HospiceCertificate of Waiver, Hospice17D2259961
- Independence Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility17D0676251
- Independence Family MedicineCertificate of Waiver, Physician office17D2058727
- Independence Unified School District 446Certificate of Waiver, School or student health service17D2233582
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-2893 in Independence?
17D2159149, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-2893 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2159149 expire?
The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.